Provider Demographics
NPI:1033191929
Name:SCURTI, LOUIS J (PHD, EDS, MDIV)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:J
Last Name:SCURTI
Suffix:
Gender:M
Credentials:PHD, EDS, MDIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7994
Mailing Address - Street 2:
Mailing Address - City:HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07538
Mailing Address - Country:US
Mailing Address - Phone:973-981-5003
Mailing Address - Fax:973-595-5312
Practice Address - Street 1:393 CRESCENT AVE
Practice Address - Street 2:
Practice Address - City:WYCKOFF
Practice Address - State:NJ
Practice Address - Zip Code:07481-2820
Practice Address - Country:US
Practice Address - Phone:973-981-5003
Practice Address - Fax:973-595-5312
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37F100150400106H00000X
FLMT2060106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist